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Individual

PROF. KAIS E OBEID

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(505) 623-1494
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
74-212
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
25327763
NM
Enumeration date
05/05/2006
Last updated
07/08/2007
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